All of Dr. Ledley's work with new clients begins with a thorough assessment. The purpose of the assessment is to learn about the history of the client's difficulties, hear about their strengths and goals, and determine whether a client (and his/her family) is a good fit for cognitive behavioral therapy (CBT). When working with children and younger adolescents, Dr. Ledley typically meets with parents at an initial appointment before meeting with the child. At the conclusion of the assessment process, Dr. Ledley will formulate a treatment plan. She will also recommend whether it is necessary to build a treatment team for a given patient. This might include obtaining a psychoeducational evaluation for children who are struggling in school, or consulting with a psychiatrist should it seem that medication would be a useful adjunct to treatment.

Dr. Ledley practices cognitive behavioral therapy (CBT). CBT is a present-focused, problem-focused approach to treatment, with decades of scientific research demonstrating its efficacy. CBT involves coaching clients to think about themselves and the world in a different way, as well as helping clients to confront situations that they currently fear or avoid. In contrast to many other practitioners, Dr. Ledley actively does "exposures" during therapy sessions with her clients. These might range from going to a pet store with a child who fears dogs, accompanying a client to a lab for a blood test in the course of treatment for a needle phobia, or using public restrooms with patients who fear getting ill from dirt and germs. Each treatment plan is individualized depending on a client's unique fears and goals.

CBT for anxiety disorders typically lasts 16-20 sessions, although this can vary widely, particularly with children. Some children and families see resolution of symptoms after only a few sessions, while other choose to see Dr. Ledley on an ongoing basis even after the presenting problem has been resolved.

Dr. Ledley also uses a CBT approach in her work with expectant and new mothers, helping them to adjust to the demands of parenthood.

Dr. Ledley is not a member of any insurance panels. Payment is made at each session via check, cash, or credit card. A receipt will be provided at the conclusion of each session that clients can then submit to their insurance company for reimbursement.

I am currently seeing all of my patients at my Main Line Philadelphia office, located in Narberth, PA.

The office is located at 915 Montgomery Avenue (Suite 209) in Narberth, PA. There is ample free parking behind the building.

PLEASE NOTE - Apple Maps seems to point some people in the wrong direction on Montgomery Avenue. Please consult the map above, or give me a call if you have any questions.

Narberth is convenient to Center City, all Main Line suburbs, and easily reached from I-76, I-476, and Rte 1.

The office is a little over a mile from the Narberth train station, served by the R5 regional rail train.

New Patients --

In these days of phone tag, I ask that ALL new patient requests come via e-mail or my NEW PATIENT REQUEST FORM. If you send an e-mail, please provide me with a brief overview of the kind of help you are looking for; the name and age of your child (or state that you are seeking treatment for yourself); and any questions you have about me/my practice/my approach to treatment.